Provider Demographics
NPI:1184683450
Name:JONES, LEW N (CPCI)
Entity Type:Individual
Prefix:MR
First Name:LEW
Middle Name:N
Last Name:JONES
Suffix:
Gender:M
Credentials:CPCI
Other - Prefix:MR
Other - First Name:LLEWELLYN
Other - Middle Name:NEIL
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPCI
Mailing Address - Street 1:36 SOUTHGATE LOOP
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1990
Mailing Address - Country:US
Mailing Address - Phone:801-798-1487
Mailing Address - Fax:
Practice Address - Street 1:11075 S STATE ST
Practice Address - Street 2:SUITE 28
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5164
Practice Address - Country:US
Practice Address - Phone:801-501-8444
Practice Address - Fax:801-501-7317
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT328609-6009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional